NDC 574402450
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
00574-4024-50 - erythromycin ophthalmic 0.5 Ointm
Reported by 24 hospitals in the network under the other methodology.
Based on 6–60 billing samples across every hospital reporting.
Low
$8
Average
$47
Median
$23
High
$223
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 24 hospitals; the 90th percentile is 12.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Naples HMA LLC | Naples, FL | $24 | $22 | $6 | 1–10 | $4 | $24 |
| 2 | Naples HMA LLC | Naples, FL | $24 | $22 | $6 | 1–10 | $4 | $24 |
| 3 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $14 | $14 | $0 | 1–10 | $6 | $46 |
| 4 | Oro Valley Hospital LLC | Tucson, AZ | $14 | $17 | $5 | 1–10 | $7 | $46 |
| 5 | Northwest Hospital LLC | Tucson, AZ | $14 | $17 | $5 | 1–10 | $7 | $46 |
| 6 | Laredo Texas Hospital Company LP | Laredo, TX | $9 | $9 | $0 | 1–10 | $4 | $84 |
| 7 | Bluffton Health System LLC | Bluffton, IN | $34 | $34 | — | — | $32 | $119 |
| 8 | Dukes Health System LLC | Peru, IN | $110 | $108 | $19 | — | $64 | $345 |
| 9 | St. Joseph Health System, LLC | Wayne, IN | $223 | $223 | — | — | $53 | $223 |
| 10 | Wesley Health System LLC | Hattiesburg, MS | $48 | $48 | $7 | — | $6 | $55 |
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